Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

V-Medical PC

V-Medical PC was paid $804K by Medicaid between Jan 2018 and Sep 2020, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoV-MEDICAL PC
FRANKLIN SQ, NY 11010
33aNPI1649604661assigned 08/27/2013
28Total paid$804K
24GClaims13,871
24DCodes billed31
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in New York

Rank by total paid#9 of 104
Median peer was paid$17K
This provider vs. median47×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,465$293K
20195,401$327K
20203,005$184K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 6,189 2,113 $399K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14% 1,286 718 $117K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 9.1% 197 193 $73K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.2% 523 306 $66K
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 4.8% 433 277 $39K
98928 3.2% 403 235 $25K
95923 1.9% 173 173 $15K
L0484 Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated 1.8% 22 22 $14K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 1.5% 254 241 $12K
80305 1.2% 1,944 1,136 $10K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 1.1% 71 71 $8K
95924 <1% 87 87 $8K
19 more codes
99443 <1% 55 $4K
90792 Psychiatric diagnostic evaluation with medical services <1% 30 $4K
81002 <1% 1,740 $3K
99407 <1% 94 $2K
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth <1% 26 $2K
94060 <1% 31 $1K
94016 <1% 31 $414.40
97032 <1% 28 $363.42
81003 <1% 35 $64.00
20552 <1% 12 $50.00
76800 0% 15 $0.00
94010 0% 31 $0.00
76700 Ultrasound, abdominal, real time with image documentation; complete 0% 17 $0.00
94726 0% 31 $0.00
95913 0% 25 $0.00
G9584 Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy 0% 12 $0.00
93975 0% 17 $0.00
97039 0% 28 $0.00
94729 0% 31 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHINZ, CHARLES (PHYSICIAN)